VBS - Camper Registration for Children in Kindergarten (Age 5) through Grade 5

    There will not be a Pre-k VBS offered this summer.
  • Registration for VBS Campers, K-5

  • NameDate of Birth, (age 5 by 7/21)GenderCamper T-Shirt Size (XS, S, M, L, XL) 
    Hit the plus sign to add additional children.
  • Placement of Siblings

  • Comments or Questions

  • Information and Policies

    Please fill out the information below. You may leave the Confidential information blank if there are no current issues or concerns.
  • To best support you and your child(ren), please let us know of any allergies, physical limitations, learning challenges, special needs and/or family circumstances (recent separation, divorce, death or illness). Please contact Mary Jo (331-707-5378) prior to the start of vbs so we may learn how to support you in the care of your child(ren)’s needs and growing faith. Thank you!
  • Medical Insurance Information

    Our Diocese ask for the information below to assure for child safety when they are in the care of the parish program.
  • Videos & Photography

  • VBS Fees

    Fees go toward the cost of each child's vbs materials, t-shirt, prepackaged snacks, and the vbs music digital card (one per household).
  • After you hit SUBMIT, you will be redirected to the PAYMENT page to make payment by credit/debit card. If you need tuition assistance or would like to submit a check or cash as payment, please contact us at maryjot@olmercy.com THANK YOU!
  • The parties agree that this document may be electronically signed and that the electronic signatures appearing on this document are the same as handwritten signatures for the purposes of validity, enforceability and admissibility. Transmission via email is not encrypted, so if you are concerned about the security of your sensitive information, please print and fax this form, surface mail it or hand deliver it.
  • Please click submit when you are finished filling out the form. Thank you!